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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 6 LT 30 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report .ama: ~ ~ ~y ~,T~ Wastewa~er System: 'D New ~upgrade · dd,~,~: ~O C-P~OF~ ~ ABSORPTION FIELD LEGAL DESCRIPTIO~ ~ SoilRating: %GPD/Sq.F,. Total Depth from~grade: vel length: Casing He ova Ground: SEPARATION DISTANCES '~s~pt~o ~ Holding ~ 8.T.E.P. To Septic Absorption Lift Holding =ublic/Private Manufacturer: Capacityin gallons: z Number of Compa~ments: SudaOewater ~1oo' r ¢(.' % LIFT STATION Remarks: ~ ~ ~D BENCH MARK Location and Description: Depadment of Heal. and ~uman~e~ices approval Reviewed and approved by: Date'. ~-/2 - ¢~ 72-O13 (Rev, 9/91) MOA 25 I AS-BUILT INSULATION OVER TANK SEPTIC TANK REPLACEMENT~ LmT 30, SK 6, VALLI VUE EST. SATE, ~/86/97 DRAWN: GARNESS SCALE~ ]' = PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970027 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER N~IE:SAAKVITNE JENS & TRACY OWNER ADDRESS:6760 CROOKED TREE CIR ANCHORAGE, ALASKA 99516 DATE ISSUED: 2/26/97 EXPIRATION DATE: 2/26/98 PARCEL ID:01512322 LEGAL DESCRIPTION: VALLI VUE ESTATES #2 BLK 6 LT 30 LOT SIZE: 23981 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED DATE: DATE: '2- 8471 Brookridge Drive ~ Anchorage ~ Alaska 99504 (907) 3:3%6179 ~ Fax (907) $38-3246 Consulting Engineers February 25, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Tank Replacement for Lot 30, Bk 6, Valli Vue Est #2. 6760 Crooked Tree Circle, Anchorage, Alaska. To whom it may concern: The existing 4 bedroom house is served by private septic system, and a community well. The existing 1000 gallon septic tank has collapsed and must be replaced immediately. The excavator (Carl Elsenbast) is going to remove both the 1250 gallon tank and the 500 gallon tank, and replace them both with a new 1250 gallon tank. Vallie Vue subdivision is on a community well, which is greater than 200 feet from the proposed upgrade. Attached is a 1" = 30' scale drawing which show the location of the new septic tank. There are no surface waters within 100 feet of the proposed upgrade. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 33%6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. Sincerely, Jeffreyfl Owne#~ tsultant NEW 1258 GALLON THE EX[STING 1250 GALLON AND 500 GALLON SEPTIC TANK WILL BE ADANDDNE2 PER UPC, THE NEW 1250 GALLON SEPTIC TANK WILL BE INSTALLED TD THE NORTHWEST AS SHDWN, DDUBLE C/D WILL BE INSTALLED AFTER THE TANK. A FOUNDATION C/O WILL BE INSTALLED. -EXISTING TANKS LOCATIONS ARE APPRDX, NDTES, t. THIS IS NDT A SURVEY. THE LOCATION DE SEPTIC SYSTEM~ AND STRUCTURE IS APPROXIMATE. SEPTIC TANK REPLACEHENT: PREPARED FOR: PREPARED ~Y~ DATE: LDT 30, BK 6j VALLI VUE EST, JENS SAAKVITNE ALADKA WATER & ~/ASTE~ATER 2/25/97 DRA~/N~ GARNES~ ~CALE~ 1d = 30' A. Garnes~ ~ C67953 ,:-- MUNICIPALITY OF ANCHORAGE DE, ,(TMENT OF HEALTH AND HUMAN SER'~ ~ Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT F~M~O SEPTIC ABSORPTION Address ~ 7~ ~A~J ~ ~/~,~...-... ~ TANK FIELD WELL LEGAL DESCRIPTION LOT LINE ~ AS-BUILT DIAGRAM tShow location of well septic system, property lies, ]oundabon, % /~ ~ ~. 3 ~J ¢ /~ driveway, water bodies, etc.) TANKS i ~ SEPTIC ~ ~ Manul8ct ufer ~ ~gaJ[ons I TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN D OTHER / ~pth to pipe bDt[om from Total depth from original grade / Total absorption area Distance belween lines ¢( ~ ~ PRIVATE ~ OTHER (Identify) REMARKS: Scale: ENGINEER'S SEAL I ~/~, c~flily Ihat this inspsGtion was pgdDrmsd aoGording Io all Municipal and Slate guidelines in dlect on lhis da~ .~ ~ ~/~ Health Depadment Approval: ~ _ - Date: 72 013 (3/85) RECEIVED I~.' ~ '..v,~ : '.* I SOILS LOG -- PERCOLATION TEST [~i~". CE,,,5 ..~ J DATE PERFORMED: ~/ BEVAN ENGINEERING Approved Well & Septic Engineers PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5- 6- 7 10 11 12 13 14 15 16- 17- 18- 19- 20- Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Dopth to Water After .¢~ Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop .......... ~ .......... ~ ;~RVK. t:$ DIVISIC PERCOLATION RATE (m,nutes/mch) PERC HOLE DIAMETER __ TEST RUN BETWEEN FT AND FT I/~ .¢~- CERTIFY THAT THIS TEST WAS PERFORMED IN .B, EVAN ENGINEERING ivlA¥ 2 9 SOILS LOG -- PERCOLATION TEST DATE PERFORMED FOR: 5 6 7 8 9 10 11 1 2, Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? 12 13 17- 18- 19- 20 S L IF YES, AT WHAT O DEPTH? I~ Deplh l0 Water After f~ Monitoring? Oale: Reading Date Gross Net Depth to Net Time Time Water Drop ,~- ,~ //. z_~¢~ 0 ~, ~o PERCOLATION RATE ~' tm~nutes/inch) PERC HOLE DIAMETER ~' // TEST RUN BETWEEN '~' FT AND ~ FT COMMENTS ~./~:~ ~- /'/Z~/2/' ~//~ PERFORMED ~Y; I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DA~E. DATE: 72-008 (Rev. 4/85) ~' ' ~MUNICIPALITY OF ANCHORAGE "-~';~-~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS ~ Manufacturer~ ... Materi~ No. of~partments ~ ~ Liq, capacity in gallons Inside length Width Liquid depth ~00 ~ /~O IF HOME~DE: ' ~ Weg Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity Jn gallons ~~ NO. of lines ]finisl~r~e-F~ Material bene~h~ile~ ~ inches ~ Top of tile to Total effective absorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot llne PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS t ~ ~ ~ 72-013 {Rev. 3/78) · ~C¢..'T'~ rl i'.l mlmP'F: OF E:EDF:'.OOHE; =: ':', THE: LENGTH C':~:HE:NE;.T. ON i:E; THE: LE:NGTH (i?'~ FEE'.':'> OF' THE: TRE:NC:Fi THE: DEPTH Eft= i::t 'FRENCH EG-:: PIT !:E; THE: E:,!:'=:;TFff,!CE E?E'F'NEE::N THb: -'Z.,L!F:F:RCF=' OF THE; (.~F'.OLINE:, FINE:, 'i"?.E:.: E~OTTOf,1 Ed.:: THE IE:>fCFi'v'F:fTiON (IN FEET). 'f'HF:!?.E: ZF; i.,~O :SE'T' HL.r[:,TH FOF.: TRE:NCHE:~. THE::: c' -"-' ' -~ . ',-,' .... .... =!.F! E.,- DEF'TH T,:: THE i"il?'-!:(i'"il.J?i [.'~r"Tn Ui" EiF::F¢',,'EL_ EF-'Ti,tF'F~',I iHE , .......... LL PIPE ..... '. "*" -' Hh!L:, THE' E:OTTOPi t:iF '[HE: F'""f'''I:'''¢:T''-j~t ' ,: ................. -'..r:r". ~: :E; .[.,l=i"dI< ! r'ff-:r',! J I::,U!:~rZJ',JEi F'!:::F:Pi):T .'~ r , ......" ,.".= ... ' ........................... ..................... ,'.- ,: '-:~l" F"I:4. L, FE.~.~'T' t::ir',![:' THE N_HEY? U~ .......... : ..-..h.--~ .... THFFF THE !'.IEL.L ~.,i:i ! '-'='m','- h._.,-.., ..J ....... ,:,il.. I~f: F.N? :E;'T":":;TE:H Hi!'HOUT F!N.F:iL TNc:F-'F-:T':TI'F$'~ I:::NE:' FJF'F'RO"/FE. :"-' TH!E; E:,E'F'F:IF::THE:N'F I'.IILi.. E:E ':%IJEL.:IEC-F T'3 F'ROSECLFT'iC~H. f'i ! P,! I PiUH [:'I ?%Tfi:'",iE:E: E:ETI'.IEEN F:i I.,IEL.i._. f:ii'.~D Ri'.4h.' ON-.:: ! TE: :E;Ei,l!::iOi[:: E:,: :::;F'Of:,FiL. E;?::i!;TEH ]:'::.; :L',.::iC.~ F!EE:T F!:)F:: F! F:'F:'.!'v',::FFE: i4E:LL..: O~,?. :].:~EI 'TO 2EiE! FEET F'ROf'1 f::f i:'UBL..):C HE:I.L.. DEPE:NE:,:fNEi UF'ON THE "Fh'PE OF' F:'UE:L_):C HELL. F_T!'t.4EF: REG!UiF:E:HE?J,T::.:; !','IF!'.? FIPF'L'./. S;PECiFiCFFflON'2 Ri'.!D CON:::TRUC'f'!ON D!FIGF:FtH:E; Iq, F:E: FiVFi!L!qDL.E: TO !NSUF.:E F'ROPEF?..(N:i:';TFILLFtT.T. Ed'.L i CE:RFiF:'V THF!T J..: i F-IH FAHILiFiR Hi'FH THE RE~3LJiF'.E:MENTE:; F:Oh? O?.&.L=;iTE: '::-;EkEEF:::E; AND HELL6 FIE-:; SET FOF::TH D'-? THE I'IUN!CZPRL. IT'-/ OF FINE:FICff:::RGE. :?.: i iqiLL, iNSTEiL.L THE ':.=.;V'EFFEH ih! RCE:OF~DRNE:E Hi'i'H '!'i-.iE CODE':'::.. 3:: i UNDEF?.::E;TRi'4[:', TIiFFi' 'TiqE Oh?_::-;iTE :::;Ei4ER SYS'FEFI FiFW RE.C-:!L!IF'.E biNL.RF:GEPiENT :(F' TIqE RE'---!; i [)Eh.lEE i % RtEi:qOC, EiL. ED -i"O t NCLUE:,E P1E;EE'.E THFiN ~t; E',EL:,ROOI'i:::;. ..................... ~._- ............................. ',,,' L=;. GREI'~."R ANCHORAGE AREA BORf~,JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 I,NSPECTJON REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: ~ L. ;:~ I~ ~)O '~ DISTANCE ~ J ' ~--'4¢-~ ~ ~~) NUMBEROF FROM WEL~ MANUFACTURER.%¢~~ MATERIAL COMPARTMENTS ~ INSIDE LENGTH / INSIDE WIDTH / LIQUID DEPTH .LIQUID CAPACITY ~ ~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WIDTH LINING MATERIAL CRIB SIZE: DIAMETER BUILDING FOUNDATION/~O I,+ NEAREST LOT LINE/~-~ ADDITIONAL ABSORPTION. LENGTH/~, / DEPTH EPT ."A 'D,STANCE FROM: WELLd ' . TOTAL EFFECTIVE WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION __ LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM INSTALLED BY~'~ PIPE MATERIAL; LOT SLOPE REMARKS: Form No, EQ-031 DATE DIAGRAM OF SYSTEM go~. ,~,~, I I~//d G.A.A.B. GREATER ANCHORAGE AREA BOROUGH 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-/~56! ~ ~ SEWAGE DISPOSAL SYSTEM -- APPLICATION AIqD PERMIT INSTALLAT]ON LOCATION ~ ~' INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS SEEPAGE PIT ~ j DRAIN FIELD TO BE INSTALLED '* ~ ' OTHER NOTE: THIS PERMIT I$ NOT VALID WITHOUT SOIL TE$~l COMPLETION DATE ANTICIPATED ~ ~/ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF' ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK TO RIVER, LAKE. STREAM. DIAGRAM OF SYSTEM FOUNDATION TO SEEPAGE Pit , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC T^NK 3'- / Z_r~ / SEEPAGE PIT -, DRAIN FIELD -/~ / TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER main TO SEPTIC TANK //~) / . SEEPAGE Pit ~6 / SEPTIC TAN~. /~ / /~-~ / GRAVEL BACKFILL I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM iS IN ACCORDANCE WITH SAID CODE. GREATER ANCtlORAG[ AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUA[.TTY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case Performed F o r ~][~_~_~ Legal Descriotion: ~.ot_]~L~_~__Blo~k This Form Re~orts Soils Soil Test Must Be Log§ed To 4' Depth Feet Soil Characteristics Dated Performed ~- ~ ~o __Subdivision ~o--/{~ I)'--'-q, _ Percolation Test Below Proposed Seepage System Was Ground Water Encountered?__J4O_ j~ If Yes, At Wha~ Depth? Reading Date Gross Time Net Time Peecolation Rate Minul;e Proposee Installation: Seepage Pi,t Deuth of Inlet Depth to Bottom /o~h~-/'~ ~ ~mx ~. COMMENTS: Depth to H20 Net Dro Drain Field 6-f--Pit or Trenc~ Test Performed BY ./~ ~ ~_~ Date Certified BY: Date: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 30; Block 6; Valli Vue Estates No.. 2 Location (site address or directions) 6760 Crooked Tr~e Circl6 Property oWner Mailing address Ta. ff~y &' ~a~.n Ao~on ou~ of ar~ Day phone Lending agency Mailing address Day phone Agent PHH/HOMEQUITY Mik~ L~w~ & Carol Schwartz Day phone 214-506-8808 400 East Las Colinas Bou~evar~ Address Suite #300 HOMEQUITY NO: 2520-30132 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Irving, Texas 75039 Unless otherwise requested, HAA will be held for pickup. NOTE: Community well XX Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: ×X Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature DHHS SIGNATURE :/~¢",,..~Approved for / Disapproved. Conditional approval for $ & 5 ENGINEEEING ! 7034 Eagle Rivet Loe~ Read Eagle RIv~": Alaska ~ Phone Date bedrooms. bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does th is as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 79~25 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L.~¢~ ~.¢~ ~Y-- ~ A. WELL DATA Well type /~' If A, B, or C, attach ADEC letter. Parcel I.D, ADEC water system number Log present(Y/N) Date corn pleted Driller Total depth Cased to Casing height Sanitary seal (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG Wires properly protected (Y/N) AT INSPECTION SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots g.p.m. Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK D~,,TA Date installed (¢' ~'7 Tank size Compartments CleanoutsC[~N) y Foundation cleanout (Y~ t~ Depression (Y~j~ ~ High water alarm (Y/N) -- Alarm tested (Y/N)' -- Date Of pumping ~.~"~ ~'7,.- Pumper ,~Jr- ~f~i,J~ ~:::~,_________________~ Well(s) on lot To propertyline ~ '~ Surface water/drainage On adjacent lots Absorption field Foundation Water ma:in/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~, ~ "2-~- Length ~C:) i Width ~'~ Total absorption area '"'/[~'~'~ Depression over field (Y~ Results~ail) Peroxide treatment (past 12 months) Soil rating t ~::~'-'~ ~ System type Gravel thickness ("~" Cleanouts present (~N) Date of adequacy test for _ '~--~oV3,~ If yes, give date Total depth ~~' bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~ //~ On adjacent lots "~:::;'~ ~ To building founclation /'"~I T ting or abandoned system on lot On adjacent lots ~' JO' Cutbank ~ el; Water main/service line Surface water __ / c::~t ~ Driveway, parking/vehicle storage area Curtain drain kl> Property line ~t ~ ~-~¢¢-¢¢~ E, ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect ( Signature Engineer's Name Date S & S ENGINEERING 17034 Eagle River Loop Road HAA FO0 $ Da s of ayment qZ,- Receipt Nurnber ,~/~ ~ ~; ~'*' ~ 7 2~¢ Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 DEPT. OF ENVIRONMENTAL CONSERVATION WALTER J. HICKEL, GOVERNOR ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 349-7755 July 1992 Mr. Roger Shafer, P:E. S & S Engineering 17034 Eagle River Loop, Suite 204 Eagle River, AK 99577 SUBJECT: Public Water System ID# 210605 Dear Mr. Shafer: A review of the records on file in this office indicates that the Class "A" Public Water System serving Valley View Estates is currently in compliance with the routine coliform bacteria sampling requirements listed in Table C and with the inorganic sampling requirements listed in Table B of 18 AAC 80.200. Sincerely, Michael Lu, E.I.T. Project Engineer ML/pf DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE 'NSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE  825 L Street-Anchorage. AI.ska 9950~ [: ii 6 ~ 9 i981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES PROPERTY RESIDENT(Ifdifferentfromabo ) PHONE 2, BUYER PHONE MAI~I NG ADDRESS 3, ENDING INSTITUTIO~ ) PHONE ~EALTOR/AGENT ) ~ PHONE MAI LING AD DR ESS 5, LEGAL DESCRIPTION STREET LOCATI O~1 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One ~ Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7, WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ~ COMMUNITY since June 1975. For weirs drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ /7~'/ YEAR ON-SITE SYSTEM WAS INSTALLED. ~ INDIVIDUAL/ON-SITE** ! PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY t 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED C-IPUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []HoldingTank Size: If Tank ishomem~de 8OILSRATING give dimensions: TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS I~"//XPPROV ED FOR ~'~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompa~y, certificate} DATE [] DISAPPROVED '" ) 72-010 (Rev, 6/79) 825 "L" STREET ANCHORAGE, ALASI<A 99501 (907) 264-4111 GEORGE M, SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAl_ PROTECTION February 23, 1981 Charles L./Julianne Russell Star Route A Box 30Z Anchorage, Alaska 99502 Subject: Lot 30 Block 6 Valli Vue Estates Subdivision #2 Approval for your individual sewer and water facilities cannot be granted until the following item has been completed: (1) The septic tank pumped with a receipt submitted to this department. :'., . If there are any fur. ther questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Mutual Savings Bank % Betty Dayton Post Office Box 1120 99510 Peter Jarratt % Century 21 Heritage Homes 207 East Northern Lights Boulevard 99503 PHONE 1. PROPERTY OWNER MAILING ~)DR ESS PROPERTY RESIDENT (If different from above) PHONE BUY R PHONE MAI LING ADDR ESS 3. LENDING INSTITUTION MAI LING ADDR ESS PHONE 4. REAL~'OR/AGENT PHONE LEGAL DESCRIPTION ;TR EET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~'~ING LE FAMILY [] One [] Four [] Two ~ Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is requ'ired for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log )f available.) 8. SEWAGE DISPOSAL SYSTEM [~"~1 N DI VI D UA L/O N-SITE~ [] PUBLIC UTI LITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) ' ' --O]OIAO~d ~9V~]~03 ]ON~$NI ON 008~ [z6f '=~v (eaelsod Snld) ~O¢--llVlN 031.-IIJ.~133 ~lOJ J. dlgO3~J 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [~' COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~'t~IDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER ~eptic Tank or [] Holding Tank Size: /OoO If Tank is homemade SOILS RATING give dimensions: /0 ~ TYPE OF~ MANU~ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption A~ea to nearest Lot Line t.. f/' , ' , ,. [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate} [] DISAPPROVED DATE BY (Title) ~'~ LEGAL DESCRIPTION 72-010 IRev. 3/78) S-fiOl~, pOS~'AOF. STJ\hIPS TO t~RTICC[ 'fO CO~ER POSTAGE (first class or C~R~IFI[O M~IL ~E[, AtiO CII~RG[S ~OR At~Y SELEC~EO OPTIONAh SERVICES, (see front) ' ostmarked, stick the 8umme6 stub on the left po tton of the address If ou ' ant th~s re~e~t 9 . . *.el.t attache a d present the article at a post o ce se vice 1, s ~ of the article, teaWng.~,~.'~"~.~'ri~ e0 extra charge) on the e~t port,ca of window 0r hand t to you[ ~u,, ....... r. ( t is receipt postmarked, st ck the ~ummed stub 2. if you do not want the attic e. d~to. detach and [etain t~e receipt, aad m~il the art cie. the address side of .. . ' mbe and your ame and address on ....... ce nt write the certdmj ?m[~u~.k o the article.by meaus of the 2 el the return recei¢ card if that '¢ervice is reqoosted. 5. Save this receipt and preseRt it if you make iaquiry. GREATER ANCHORAGE AREA BOROUGH jDepartment of Environmental Quality "C" Street, Anchorage, Alaska 99503 274-4561 i :, ' Time of Inspection ~q~' Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: ~ /~ /" ~ __ .. ~' . fl Mailing Address: ~y~2~ ~/ ~ P~one: ~'~ - 2. Property Owner: ~-~/~_.~'~//" Phone: Mailing Address: 4. Location: .5. Type of facility to be inspected 6. Well Data: ¢. Construction B. Depth No. of bedrooms D. Bacterial Analysis 7. Sewage Disposal System: A. Installed . B. Installer C. Septic Tank: 1. Size - 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of tw6 pages - Re~ ,for Approval of Individual S ~& Water Facilities Lega]~escription £ Comments Approved Disapproved Date ~-~/-?.~ Ap~val Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) 3330 GREATER ANCHORAGE AREF BOROUGH Department of Environmental Quality ~C~ St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA 2. Property Owner: ~ ~ ~~o ~ / Mailing Address: /~/'q- 2©~ 3. Name of Buyer; o FHA CONV ~/ Day Phone ~qZ~/6~ ' Mailing Address: Name of Lending Institution: Mailing Address: Name of Realtor or Agent: Mailing Address: ~ Day p.hone Phone Phone Legal Location: Description: Type of Facility to be inspected: No. Bdrms. _~ ~ater Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type,of S~stem: Public Utility Individual (on-site) If Indiv'idual, date of installation